The Diagnostic Role of Arginase-1, MOC-31, and CDX2 in the Differentiation of Hepatocellular Carcinoma, Cholangiocarcinoma, and Metastatic Colonic Carcinoma of the Liver

Faculty Medicine Year: 2019
Type of Publication: ZU Hosted Pages:
Authors:
Journal: middle east journal of cancer middle east journal of cancer Volume:
Keywords : , Diagnostic Role , Arginase-1, MOC-31, , CDX2 , , Differentiation    
Abstract:
Background: Hepatocellular carcinoma (HCC) is the most common primary liver cancer. Pathologic differentiation between HCC from metastatic carcinoma and cholangiocarcinoma has critical therapeutic implications. However, it is occasionally challenging and sometimes requires immunohistochemical panels. Recently, Arginase- 1, MOC-31, and CDX2 have been introduced for the differentiation of these tumors. This study was conducted to determine the value of expression of Arginase-1, MOC- 31, and CDX2 in differentiating primary carcinoma of the liver from cholangiocarcinoma and metastatic adenocarcinoma to the liver. Methods: 50 cases of HCC, 20 cases of metastatic colonic carcinoma to the liver, and 10 cases of cholangiocarcinoma were evaluated for immunohistochemical expression of Arginase-1, MOC-31, and CDX2. Results: Arginase-1 was positive in 45 (90%) of HCC cases and negative in metastatic carcinoma and cholangiocarcinoma cases. MOC-31 was positive in 19 (95%) of metastatic colonic adenocarcinoma cases and 10 (100%) of cholangiocarcinoma cases, while it was negative in HCC cases. CDX2 was positive in 18 (90%) of metastatic carcinoma cases while it was negative in cholangiocarcinoma cases. The sensitivity of Arginase-1 for HCC, MOC-31 for MC, and CDX2 for metastatic colonic carcinoma in the studied groups was 95%, 100%, and 98%, respectively, whereas its specificity was 100%, 96.7%, and 60%, respectively. The difference of Arginase-1, MOC- 31, and CDX2 expressions in HCC, cholangiocarcinoma, and metastatic colonic adenocarcinoma were statistically significant (P<0.001). Conclusion: Our study revealed that Arginase-1, MOC-31, and CDX2 expression are suitable IHC markers in the differential diagnosis of HCC, cholangiocarcinoma, and metastatic colonic adenocarcinoma.
   
     
 
       

Author Related Publications

  • Salem Youssef Mohamed Salem, "Prevalence of Gastrointestinal Symptoms in Severe Acute Respiratory Syndrome Coronavirus 2 Infection: Results of the Prospective Controlled Multinational GI-COVID-19 Study.", walker and wiley, 2021 More
  • Salem Youssef Mohamed Salem, "Creating clear and informative image-based figures for scientific publications", PLOS BIOLOGY, 2021 More
  • Salem Youssef Mohamed Salem, "Barriers for resuming endoscopy service in the context of COVID-19 pandemic: A multicenter survey from Egypt", Baishideng Publishing Group Inc, 2020 More
  • Salem Youssef Mohamed Salem, "Persistent Elevation of Liver Enzymes during Pegylated Interferon Therapy of Chronic Hepatitis C Virus: Role of Occult Hepatitis B", thomson research, 2012 More
  • Salem Youssef Mohamed Salem, "Combined Assessment of EZH2, GPC3 and SUOX could Improve Diagnosis of Regenerative Nodule, Liver Dysplasia and Small HCC in Cirrhotic Patients", IJAR, 2015 More

Department Related Publications

  • Ayman Abdalrahman Mohamed Nasrllah, "Thyroid Dysfunction and Inflammatory Biomarkers in COPD:Relation to Severity and Exacerbation", Cairo,Egypt, 2013 More
  • Emad Fawzy Hamed Mahmoud, "ANNEXIN A2 VERSUS AFP AS AN EFFICIENT DIAGNOSTIC SERUM MARKER FOR HEPATOCELLULAR CARCINOMA", المجله المصريه الافريقيه للامراض المتوطنه, 2013 More
  • Emad Fawzy Hamed Mahmoud, "PARAOXONASE 1 Gene Polymorphism Relationship with Type 2 Diabetes Mellitus", life science journal, 2012 More
  • Ayman Abdalrahman Mohamed Nasrllah, "Microalbuminurea Screening and Risk factors in adolescents with type 1 Diabetes Mellitus In Zagazig University Hospital n", London, 2012 More
  • Ayman Abdalrahman Mohamed Nasrllah, "Predicting Insulin Resistance Using Triglyceride to High Density Lipoprotein Ratio In Egyptian Adults", Zagazig University,Medical College, 2013 More
Tweet